"Kashi 10% na karyewar idon ƙafa suna tare da raunin tibiofibular syndesmosis na distal. Bincike ya nuna cewa kashi 52% na sukurori na distal tibiofibular yana haifar da raguwar syndesmosis mara kyau. Saka sukurori na distal tibiofibular a tsaye a saman haɗin gwiwa yana da mahimmanci don guje wa malreduction na iatrogenic. A cewar littafin AO, ana ba da shawarar a saka sukurori na distal tibiofibular a tsayin 2 cm ko 3.5 cm sama da saman tibial articular, a kusurwar 20-30 ° zuwa saman kwance, daga fibula zuwa tibia, tare da idon ƙafa a matsayi mara tsaka tsaki."
Shigar da sukurori na distal tibiofibular da hannu sau da yawa yakan haifar da karkacewa a wurin shiga da alkibla, kuma a halin yanzu, babu wata hanya ta musamman don tantance alkiblar shigar da waɗannan sukurori. Don magance wannan batu, masu bincike na ƙasashen waje sun ɗauki sabuwar hanya—hanyar 'kusurwa bisector'.
Ta amfani da bayanai na hoto daga haɗin gwiwa na idon sawu guda 16 na yau da kullun, an ƙirƙiri samfura 16 da aka buga da 3D. A nisan 2 cm da 3.5 cm sama da saman tibial articular, an sanya wayoyi biyu na Kirschner 1.6 mm a layi ɗaya da saman haɗin kusa da gefunan gaba da na baya na tibia da fibula, bi da bi. An auna kusurwar da ke tsakanin wayoyi biyu na Kirschner ta amfani da protractor, kuma an yi amfani da guntun haƙa rami mai tsawon mm 2.7 don haƙa rami a kan layin kusurwar bisector, sannan aka saka sukurori mai tsawon mm 3.5. Bayan saka sukurori, an yanke sukurori tare da tsawonsa ta amfani da zare don tantance alaƙar da ke tsakanin alkiblar sukurori da tsakiyar axis na tibia da fibula.
Gwaje-gwajen samfura sun nuna cewa akwai daidaito mai kyau tsakanin tsakiyar tibia da fibula da layin kusurwa na bisector, da kuma tsakanin tsakiyar axis da alkiblar sukurori.
A fannin ilimin halittar jiki, wannan hanyar za ta iya sanya sukurori yadda ya kamata tare da tsakiyar tibia da fibula. Duk da haka, a lokacin tiyata, sanya wayoyi na Kirschner kusa da gefunan gaba da na baya na tibia da fibula yana haifar da haɗarin lalata jijiyoyin jini da jijiyoyi. Bugu da ƙari, wannan hanyar ba ta magance matsalar rashin aikin iatrogenic ba, saboda ba za a iya tantance daidaiton tibiofibular na nesa ba kafin a sanya sukurori.
Lokacin Saƙo: Yuli-30-2024
